对一名患有毛手毛脚症的西班牙裔成人进行 ACT 行为疗法强化治疗：病例报告

IF 0.8 4区心理学 Q4 PSYCHIATRY

Clinical Case Studies Pub Date : 2023-12-28 DOI:10.1177/15346501231225505

Marissa L. Donahue, M. Twohig

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引用次数: 0

摘要

拔毛症又称 "拔发障碍"，其特征是反复短暂或持续地拔除头发，并导致脱发。ACT 增强行为疗法（A-EBT）通过促进对拔毛冲动的心理灵活性、教授刺激控制和习惯逆转训练，已被证明是治疗嗜毛症的有效方法。然而，针对少数族裔客户的 A-EBT 支持却很有限。本病例报告主要介绍了一名西班牙裔成年女性客户露娜（化名），她接受了八次 A-EBT 治疗嗜毛癖的疗程。治疗后，露娜在拔毛发的数量、毛发躁狂症特有的心理灵活性、抑郁和焦虑方面都有明显改善。卢娜的病例凸显了治疗的障碍，如寻求心理健康服务时可能遇到的阻力、家庭成员的观念对接受心理健康服务的影响，以及获得专门治疗毛发妄想症的途径有限。

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ACT-Enhanced Behavior Therapy for a Hispanic Adult with Trichotillomania: A Case Report

Trichotillomania, also known as Hair-Pulling Disorder, is characterized by recurrent pulling out of one’s hair over brief episodes or sustained periods of time and results in hair loss. ACT-enhanced behavior therapy (A-EBT) has been shown to be an effective approach in the treatment of trichotillomania by promoting psychological flexibility around hair pulling urges and teaching stimulus control and habit reversal training. However, there is limited support of A-EBT for clients with an ethnic minority identity. This case report focuses on an adult, Hispanic female client, Luna (pseudonym), who received eight sessions of A-EBT for the treatment of trichotillomania. At post-treatment, Luna showed significant improvements in number of hairs pulled, trichotillomania specific psychological flexibility, depression and anxiety. Luna’s case highlights barriers to care such as potential resistance in seeking mental health services, the influence of family members’ beliefs on receiving mental health services, and the limited access to specialized treatment of trichotillomania.

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来源期刊

Clinical Case Studies Multiple-

CiteScore

1.80

自引率

20.00%

发文量

期刊介绍： Clinical Case Studies seeks manuscripts that articulate various theoretical frameworks. All manuscripts will require an abstract and must adhere to the following format: (1) Theoretical and Research Basis, (2) Case Introduction, (3) Presenting Complaints, (4) History, (5) Assessment, (6) Case Conceptualization (this is where the clinician"s thinking and treatment selection come to the forefront), (7) Course of Treatment and Assessment of Progress, (8) Complicating Factors (including medical management), (9) Managed Care Considerations (if any), (10) Follow-up (how and how long), (11) Treatment Implications of the Case, (12) Recommendations to Clinicians and Students, and References.